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Plain CT scan of head (a) and prethrombectomy (b) and post-thrombectomy (c) digital subtraction angiograms in a 49-year-old woman with sudden onset left hemiparesis and confusion. Plain CT scan of head (a) and prethrombectomy (b) and post-thrombectomy (c) digital subtraction angiograms in a 49-year-old woman with sudden onset left hemiparesis and confusion. Plain CT scan of head shows hyperdense clot in the right middle cerebral artery (red arrow) and early perisylvian loss of grey–white matter differentiation. Prethrombectomy digital subtraction angiogram shows occluded right proximal middle cerebral artery (blue arrow). The catheter is visible passing through the occlusion. Post-procedure imaging shows good filling of all middle cerebral artery branches (yellow arrow). There was complete resolution of neurological signs and symptoms following aspiration thrombectomy. Matthew R B Evans et al. Pract Neurol doi: /practneurol ©2017 by BMJ Publishing Group Ltd
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